Compliance Specialist

The role of the Compliance Specialist is to assist in the daily compliance -related activities of the organization. The Compliance Specialist will be responsible for managing and reviewing medical records, preparing for and participating in internal audits, and following directives from Director of Compliance for addressing various compliance concerns. In addition, the Compliance Specialist will prepare for and participate in external payor audit activities, as applicable, and may work with the clinical leadership and Human Resources department on investigations and special projects.

*Position may be remote based however candidates must reside in any of the following states: Arizona, Colorado, Connecticut, Florida, Massachusetts, North Carolina, Tennessee, Texas and/or Wisconsin.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily, as well as lead others who do the same (as applicable). The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Understands and abides by the Behavior Analyst Certification Board (BACB) guidelinesas well as widely accepted industry ethical standards

• Communicates and collaborates on an ongoing basis with Director of Compliance

• Follows guidance and mentorship of Director of Compliance and other InBloom seniorleadership team members, as applicable

• Acts as liaison between the Compliance Department and clinicians on matters relating tocompliance-related clinical integrity, ethical standards, and best practices

• Participates and coordinates reviews of external audits ensuring compliance with payorpolicies and guidelines

• Participates in and prepares materials related to relevant policies, procedures, anddocumentation for accreditation and external audit needs, as applicable.

• Participates in and prepares ongoing quarterly internal review of clinical documentationusing established criteria

• Participates in quality improvement measures

• Remains familiar and competent with current InBloom policies and procedures

• Works with and collaborates with all departments and regions as needed

• Assists with investigating and/or responding to alleged violations of rules, regulations,policies, procedures, and standards of conduct, as applicable

• Organize, track, and verify corrective action plans are implemented and are followed.

• Performs other related duties as assigned, based on business need.

Supervisory responsibilities

• None

Education and Experience

• BACB Board Certified Behavior Analyst (BCBA) required.
• A Master’s degree in special education, psychology, or related field, with specializedknowledge of behavioral health and treatment philosophies and professional practices.
• Displays extensive knowledge and training in behavior analysis.
• Displays extensive knowledge of BACB code of ethics and industry ethical standards.
• A minimum of one year working with children with autism spectrum disorders.

• A demonstrated understanding of medical documentation requirements.

Work environment

• Remote or Hybrid

Physical demands

• Prolonged periods of sitting at a desk and working on a computer.
• Must be able to lift 15 pounds at times.Travel required
• None.

Affirmative Action/EEO statement

InBloom Autism Services provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.